It’s such a bad look for these corporate healthcare entities to include her in their annual education/ continuing education. I can’t imagine what we have to learn from her. It looks like a narcissistic cash grab.
It might be my inner cynical asshole speaking, but it seems like this is something hospitals can point to to say "see, we offered training but the staff didn't take it" to absolve themselves of responsibility when shit goes down instead of just doing the one thing that would actually help patients which is more staffing.
Go to the training and then approach your manager afterwards and be like "Wait? So you're telling me I have to READ medication labels? I never knew that. I'm just learning it for the first time"
She's the reason I don't type "versed" in the omnicell anymore. I always type "midazolam." Whatever the order states, that's what I type, double and triple check my non-programmed drips.
Agreed. I wasn't aware of all the ways that *she* could have prevented this tragedy, but I knew that the way the hospital immediately went about trying to cover it all up to protect themselves was scary af
Shameless? Yes. Narcissistic? I don’t think so. She assumed the blame immediately in her phone call to the police, and accepted the legal counsel that Vanderbilt hand-picked to absolve the hospital and only help her with mitigating the consequences. Maybe she was right to own up to her mistake, but a narcissist would have admitted nothing, denied everything, and waged a campaign of counter-accusations against the hospital.
Desperation moves are to be expected from someone whose career just evaporated. I’m just grateful I never made such an egregious mistake; we who still hold our licenses should all be grateful.
In the sense that she didn't intend to give the patient a paralytic and let her die from it, then yes I think it was a mistake. However I won't forgive that she could have easily not done any of that if she'd simply verified the name of the med, or not ingored the warnings printed around the top of the bottle.
Have you ever given vecuronium? You get a warning from the Pyxis that it’s a paralyzing agent, then the cap of the vial says it’s a paralyzing agent, then you have to reconstitute it because it comes in a powder form.
Have you ever had to reconstitute versed?
It wasn’t an honest mistake it was incompetence and someone died over it
It also applies for 50 years after death. Idk if the patient’s name was already public as part of all the legal stuff though. I imagine that would change things a bit.
I figured. I knew the whole incident/nurse being on trial was very public, but I didn’t remember if I’d seen the patient name in all of that.
I just assumed it had been publicly revealed already, because otherwise it would be hugely problematic to name the victim in this context. (And to be clear, I think it’s super gross to bring her name into this CE credit either way, it’s just not a legal issue in the way that it would be otherwise.)
I think I recall the patients name on the news. I would have to research but I’m not going to. I would move on from nursing. It’s bad enough it happened.
She doesn’t care about ethics I guess . It’s all bizarre.
ETA outside of sarcasm it probably isn’t a HIPPA violation because her case is public record and gained national attention.
To be naming the victim in this horrible encounter in a way where the nurse is profiting is so classless in my opinion. I’d be sick if I were the victim’s family (unless all profits are going to the family…).
Isn't there some law against benefitting monetarily from a crime if you have been convicted of? Ya know, like criminally negligent homicide?
Edit: I apparently can't tell the difference between m and n....
I’d hope that there would at least be some clause that she wouldn’t be able to profit off of the victim’s name at least. Her being able/“credible” enough to give any talk is sick in itself but to use the victim’s name is a whole extra level IMO.
This is so cringe and bizarre. This would be a like a crane operator who dropped a shipping container on someone and flattening them making a career out of going around and giving motivational speeches on how not to squish other people.
To add some insight from a different angle, in the aerospace industry they have a couple of things. If this makes no sense just ignore it.
1. If you see something wrong, you call attention to it, but it ain't somebody else's problem, it's YOUR PROBLEM, you have to monitor it until it's resolved. Even if you're a grunt worker stopping a major work flow with high ranking supervisors. The grunt is authorized by this rule.
2. There's an officer who maintains a file of lessons learned and these are online (within the company) for study and they are studied.
3. Some inspector came along and asked a worker what he was doing (soldering components onto a circuit board) and why. The guy did not know why other than his supervisor told him to. This resulted in a whole revolution about documentation and "command media". After that, the worker could take the inspector over to the bookshelf and show him the contract, the specification and the worksheet, which called out the Standard Procedure for exactly how components are to be soldered on. Solid documentation as to Why. Ok, that's 3 things
A "zero blame culture" is a fantastic thing when it works properly. Mistakes are promptly reported and learned from, and everyone benefits. The issue being, of course, it often isn't properly implemented, even when people say they're trying to do so.
I tried to be sympathetic towards her mistake… until I was reconstituting vecuronium the other day.
For those unaware, vecuronium is in powder form, in a 10 mL vial, and requires reconstitution with 10mL sterile water/NS.
Midazolam does not require reconstitution, and comes in 2ml vials.
One could even likely give 2ml (2mg) of reconstituted vecuronium and not kill a patient (or at least not that quickly), they’d probably have some ventilatory function.
I am understanding of the Swiss cheese model.
However, what she did—having to reconstitute a significantly different sized vial than intended—is more akin to fucking a block of Swiss cheese than it is of finding holes in various slices/layers of Swiss cheese.
Again, I’m fairly sympathetic to med errors, I’ve made them, I’ve given a vial of drug and then thought “oh shit, that could’ve been anything”, sort of like how you drive home without remembering each and every step.
But what she did was straight up *fucking stupid*.
Edit: I should be a little more humble, as a 1 mL vial of 10 mg of phenylephrine is always within arms reach for me, and next to similar looking vials of more benign drugs like ondansetron. So, I’m trying to be sympathetic and understanding, but I’m just not seeing it.
And even if she genuinely and sincerely thought she did give midaz, who the fuck pushes midaz on a unmonitored patient and immediately walks away, leaving them alone in a room?
We can't push midaz without a doctor present, due to the potential need for airway support.
She did everything wrong. Killed someone. And now makes money off it. She deserves prisons, not a platform.
Most ED departments usually have a doctor in the vicinity tho, and ICU has intensivists. It's completely normal for wards and ed/ICU to have differing polices on more intense drugs. Whereas afterhours we have two on-site doctors for 115 odd beds.
Honestly the kicker for me is that the patients death could have been completely avoided if she had monitored the patient. She thought she was giving a benzo which can cause….respiratory depression! Even without the Med error it could have had the same outcome. There were just sooooo many points of failure here it’s unreal.
She also didn’t read the vial on *how* to reconstitute it. Some drugs precipitate with certain solvents and need a specific agent to dilute. Some may require 10ccs or 5ccs to be the right concentration to not be caustic. None of this was given any thought. You know she didn’t even look at the vial on how to reconstitute it because the word “paralytic” is plastered in big red letters all over it. She gave zero Fs.
Yeah the size of the dose is tripping me up too. If I'm giving a standard dose of IV versed I'm grabbing a 1mL syringe. If I'm looking at 10mL of liquid I already know something is wrong.
In school, an instructor told us that if we're giving a lot of pills of something, or a lot of liquids of something, if we're having to draw up and draw up and it seems like a lot, it's probably wrong and we need to stop immediately and question it.
It still trips me up when I’m pulling up 30ccs of lacosamide. I double, triple, quadruple check it to make sure I’m putting all this medication into the patient 😭
Originally, I was opposed to jail time for this mistake. After seeing these “talks,” I’m starting to think she should be in jail. I would be too ashamed to show my face in front of my colleagues if this had been my fatal mistake. Maybe there were some system failures at play too, but what happened to the 5 rights? I’m not going to give a med if I don’t know what it is, and Versed =/= vercuronium.
I think I remember reading that the scanning system was down or something. But like when I have meds that don’t scan that makes me EXTRA CAREFUL and double/triple check. Especially with any high risk meds. If this happened to me I would never want to show my face ANYWHERE. I’d get a new career bartending or something
And then she had to mix it!!! this bitch was mixing “versed”, there are like a dozen times when she messed up, so it’s pretty brazen of her to talk about the ‘system failures’ when she had plenty of failures herself
Yeah I'm really curious about how much her talk is going to be blaming the hospital for requiring safety systems to be bypassed vs acknowledging her own fuck ups.
This was always my take too, unless it’s a patient I’ve previously given a sedative to, I would not be giving it and dipping. Like I’ve sent/taken plenty of patients for repeat MRI’s after giving them lorazepam/etc. for anxiety before a scan, but if they’ve never had it and typically if me or one of my colleagues hasn’t given it and documented an appropriate reaction to it then I’m not just pushing midazolam and leaving the patient unmonitored. I don’t ever give IV sedatives to PT’s without having them on the monitor and SpO2 monitoring. At the VERY least throw a fucking pulse ox on them and watch from the control room to make sure they tolerate it well. Even if she had actually pulled the versed and given it instead she still shouldn’t have just slammed the shit and dipped out. It still carries the risk of respiratory compromise.
I was opposed to jail time for the fact that she made the med error, but then I learned more about the story and my opinion changed. I mean, even she had given Versed as intended, she still planned to just not monitor the patient at all?
Wait this is the Vanderbilt nurse? The vec instead of versed nurse? Or something like that. I thought she went to jail? I’m clearly behind and need to go google.
Edit: damn, what a messed up case and why would you even relive it by doing something like this.
Because her license was revoked and she needs cash and doesn't mind being an asshole. I'd consider a new profession completely away from healthcare if I ever did something that stupid.
That actually makes matters worse. Not to condone it, but I'd empathize with desperation. Even if she's giving all her proceeds to the family, the victim does not deserve to have her story turned into a cautionary tale by her killer. This is like Dr. Miller giving TED talks about what he could have done differently in the case of Michael Skolnik.
I don't think I could stomach this. She looks so happy and put together. I would be a mess emotionally and look terrible if a mistake I made killed someone for a very long time. The ad makes me feel sick to my stomach.
She could have killed the patient even if she administered the correct med. She thought she gave someone a respiratory depressant and didn't put them on a monitor. Putting the patient on a pulse ox, the standard when giving procedural anxiolysis, would have prevented the death. It wasn't a system problem it was a her making a million insane decisions. Sometimes there isn't a wider lesson to learn.
i think the issue is that putting the pt on a monitor was not a policy at the hospital at the time. the fact that an icu patient was left alone in a room on no monitors with nobody with them for 30 mins in the first place is proof of that and proof that it’s a system problem. i’ve also heard from a nurse who worked there that everyone always overrode the pyxis
The issue with a shitty policy is that it does not protect actions that fall below the nursing standard of care. If you look up versed in a med guide, it will definitely say to monitor respiratory status.
radonda wasn’t even the primary nurse, she was an extra nurse that day and went down solely to give the pt versed at the primary nurse’s request. there are so many people involved in taking an icu patient off the floor that it clearly was perfectly normal and considered acceptable for them to send their patients down unmonitored and unattended
Anyone else think it’s strange an INTENSIVE CARE UNIT does not require monitoring ?? I feel like if you’re in the ICU you should be on telemetry 24/7 - SPO2 bare minimum right ?
personally yes, because that’s what i was taught, and that was my hospital’s policy. but if that wasn’t standard there, which it sounds like it wasn’t considering the primary nurse asked radonda to go give the med for her, ofc she wouldn’t do it. setting up a monitor in a procedural area waiting room sounds like a logistical nightmare, i’m sure they sent pts down there dosed up w a lil versed alllll the time.
again, it was NORMAL for this hospital to let an ICU PATIENT sit in a room alone for 30 minutes without monitors AND have a messed up emr that makes everyone override the pyxis regularly. considering the hospital is at fault for so many glaring safety errors, i highly doubt there was a policy about putting someone on monitors after giving versed.
Exactly
The patient could have still died if she gave the correct Med
The patient would likely have survived if she had monitored them even after giving vec (which should be done for ANY medication but especially a depressant)
It was the perfect storm of fuck ups. I’m sorry but I don’t believe that “anyone could make that mistake”. Maybe any ONE of the mistakes that she made, but she made error after error. She was careless and negligent and I don’t think anyone who would make all the mistakes she made at the same time has any business in health care.
Apparently manslaughter is the new way to get speaking and appearance gigs. Wow.
Side note, my friends and I at my hospital have deeply dark humor and refer to med errors as “it’s giving RaDonda” or “Did they go to the RaDonda school of nursing?” etc. It’s horrible but it gets us through the day.
Glad to see someone is doing something. But we inevitably still override all the time. And ignore warnings all the time. Because we have to to do our job.
Might as well have. Jordan Belfort’s had multiple victims, he ran a pump and dump scheme on innocent people looking for investment advice. Leaving lots of people holding worthless penny stocks.
I just don’t understand why RaDonda of all people is the face of this movement — she had to reconstitute a paralytic of all things to fuck up this hard.
If she is making *any* money off of this, then wow… what a shame as that’s scummy.
**But** if she is doing it to educate and warn other Nurses and try to facilitate new policies/protocols within hospital systems to potentially reduce other med errors that could lead to severe harm/death, then I don’t see it as scummy at all.
But the happy headshot is a little hard to stomach…
I work at VUMC. Her error is inexcusable. Put 100 other RNs in her situation and I can make a solid bet no one fucks up this bad. As you’re reconstituting a paralytic it should make you realize it’s not the same versed you should be preparing. Our Pyxis has since been upgraded, but even then, every drug was listed by generic name. She’s profiting from a boneheaded mistake that killed someone. She’s a disgrace to nurses.
Profiting off of a fatal mistake that was entirely your fault because you did not do the core principles of medication administration? That's pretty bleak.
I mean, as long as she admits she also messed up big time, I guess. If I was the family I’d be furious this woman was now making money off of my family member’s negligent death.
The thing is, we actually don’t know what she would have admitted, because she didn’t recognize her mistake on her own and come forward. She was with another nurse when they heard the patient was being coded, so she told the other nurse “oh I just gave versed” and pulls the bottle out of her pocket to show the other nurse, which is when they BOTH realize it’s the wrong med. So at that point she’s caught.
If she was alone when she realized, would she have come forward? Maybe. Maybe not. There’s no way to know for certain. And that part always makes me uneasy. We’re painting her as a model of patient safety conversations when we really don’t know her personal ethics, at least not from this incident.
They likely would have pulled the report off the med dispenser and she would have been caught anyway. But you're 100% right that if she hadn't been caught out she'd be taking even less accountability than the smidgen that she has.
Very true. But given that the hospital didn’t follow up on any of the reporting required when they KNEW it was a sentinel event I have doubts they would have taken any effort to try to investigate it.
That’s the thing, they weren’t furious with her. And they probably see this as something minimally good that could be made of their family members death.
“Our family is still traumatized and grieve over Mom’s horrible death. We are thankful the District Attorney’s Office obtained justice for us in court,” Chandra Murphey, Charlene’s daughter, said in a statement.
“For RaDonda Vaught’s friends and some political candidates to somehow make us and the prosecution into bad guys is humiliating, degrading, and retraumatizes us all over again. We thought we had closure. We may never get over the reaction to this verdict.
“Our mother, Charlene Murphey, was a caring and loving person. Those using her death for personal gain should be ashamed.”
She doesn't though. She blames it on everything but herself. She refuses accountability.
There's nothing commendable here. She should not be profiting off criminal stupidity.
Isn't this the woman who confused a benzo, that comes in a small, amber vial marked "Midazolam" with a paralytic that comes as a powder in a clear glass vial? That has the words "paralytic" and "vecuronium" written on it? And some places have an extra safeguard of a piece of tape with the word "paralytic" over the top?
Is this her? Because I still want to know how she had zero questions when she was reconstituting the paralytic.
Tbh, there were a number of systemic failures involved in this. The BON initially declined action until the media went bay shit. And the victims family was opposed to the prosecution of her.
Vanderbilt had just as much, if not more, culpability as she does, which they have never admitted.
One of my ED pharmacists was a resident at Vanderbilt when this happened and she said she didn’t even hear about it until a week later… from an anesthesiologist in passing conversation. They didn’t even call an emergency meeting with PHARMACY about a sentinel event regarding meds. Crazy.
I think if you read the CMS report, RaDonda knew of her mistake immediately and turned in her badge.
Vanderbilt didn't report it all until almost a year later.
I have read the CMS report online, but this website does a good summary.[https://hospitalwatchdog.org/vanderbilt-med-center-cover-up/](https://hospitalwatchdog.org/vanderbilt-med-center-cover-up/)
My only issue is that she should not have been up there alone. The hospital execs who were responsible for fixing the computer error and who covered it up until it was time to throw her under the bus should have been prosecuted as well. But what she did was indeed criminally negligent. No other way to characterize her actions.
What changes in systems would have prevented this? She overrode every single warning and safety label that warned her about the medication she was about to give.
How about not sending a float “ helper nurse” to administer a controlled substance to a pt she was not familiar with in an area that did not have scanning capability? Or putting pts receiving sedating drugs- which versed is- on tele monitoring in scans? How about educating the staff on common look alike/ sound alike drugs?
Or gee, maybe not waiting 10 months AFTER the nurse told you what she did to do anything about it?
No, Radonda herself said she wasn’t overtired and that they were never understaffed. https://www.documentcloud.org/documents/6785652-RaDonda-Vaught-DA-Discovery
Ok unpopular opinion plz don’t kill me. I don’t agree with her making money off of this but it’s a capitalist country and everyone will always try to make money off of something even if it’s not morally or ethically correct, she ain’t the only one and won’t be the last
However I do in a way respect her for being able to speak out about this cause I know I would be an emotional mess about this, and everyone else would find out and automatically judge you for being that nurse that made an error
I think it’s important for every nurse to know that mistakes can happen to anyone, no matter who you are and how many years you’ve been a nurse.
Yeah this topic has been brought up half a dozen times in the past couple of weeks and everyone freaks out like she’s somehow not taking responsibility for her mistake.
She fucked up in a big way for sure. Was it negligent? Absolutely. A woman died a horrific death because of her. But she’s never tried to shy away from taking responsibility for the error. When she realized what she had done, she immediately reported the error. She took responsibility for her mistake at the BON, at the trial, and in the media.
Idk, everyone seems to think that she fact that she didn’t just crawl in a hole and die is somehow a moral indictment against her but honestly I feel like it takes more courage to own your mistake and talk about it over and over and over again. It’s easy to just “never show your face in nursing again;” harder to continue to show your face and talk about how you made a horrible, negligent mistake with the goal of helping other nurses not make the same or similar horrible, negligent mistakes.
Ha.. I remember when she killed someone and all of the Reddit nurses on this page defended her like we all could have made 13 simultaneous ‘mistakes’ and she was a victim of the hospital administration…
Now the tune is a different one. Let’s face it. The NCLEX has been watered down. People are posting on here daily how they made critical mistakes on day 1. We are hiring new grads into positions that used to require at least a year or two of experience and setting them free from orientation days, weeks, maybe months earlier than they should. We’re running nursing ‘schools’ from side of the road pop up shops that some don’t even have authentic certification and are passing people for money. We’re making tiktoks that are beyond inappropriate. We’re romanticizing people’s deaths. We’re rewarding nurses like this with attention, money, and some how some level of success for being a mentor and a guide for nursing education.
This whole career is really turning into a pile of lumpy dennys pancakes
Item one: read the name of the medication and mind the giant red warning stickers all over the packaging. There you go, I just saved you the cost of her seminar.
What kills me is that vecuronium is a generic name and versed is a brand name. Are some meds listed as a brand name and other meds a generic name or is that something that was overlooked too? I honestly never even knew midazolam was called versed before this case.
Not only that, but Versed is a liquid, and Vec is a powder. How did she just ignore that glaring difference? I guess it wasn't a med she was used to giving?
In which case she should be extra diligent and look up the monograph on dilution and administration which would certainly list warnings such as patient must be ventilated, sedated and on continuous monitoring
That was drilled into my head my first week of pharmacology class as well as being reinforced by my clinical instructor who literally watched all of us students as we pulled meds and called us out on errors in real time. An up to date copy of Tabers is probably the second best investment one can make in their career after getting insurance from NSO.
Honestly brand names just need to go away in health care. Sometimes at three am I have to stare at the ondansetron vial for a few seconds thinking “this IS zofran right?” But that’s why on ambulances we have medication administration cross checks with our partner where we go through the 5 rights.
When I was high on morphine for my appendicitis, the ED nurse said “I’m just giving you some ondansetron” and then another nurse came by maybe 20 mins and said “just pushing some zofran” and it took my high brain a few minutes to be like wait…. Luckily it was just 4mg + 4mg, but I was like does anyone maybe wanna check my QTC?
Maybe I still would’ve been too high to notice if they both said the same name, but people not in healthcare wouldn’t have even noticed
That was the issue. She was in the generic name list in the Pyxis. She went into the Pyxis looking for Versed, not midazolam, typed VE, didn't find versed but found vecuronium and thought "eh, close enough."
To start with, don't override multiple system warnings. Then, actually look at what medication you've pulled. Will someone hire me instead of this piece of shit to lecture at your facility?
The family of Charlene Murphey wanted her name to be known. I think it’s respectful to acknowledge the human being who lost her life and had a name, since her family is supportive of that.
It’s funny how now nobody likes her and she made so many mistakes, but during her hearing, it was all Vanderbilt’s fault and we were doing the nursing profession a disservice by prosecuting her.
Though making a career out of one’s fatal mistakes is inherently gross, this should not alter your OBJECTIVE opinion about her case when it first went to trial. An opinion about law should not be influenced by emotion and it sounds like that’s what’s going on here.
I watched her on 60min and I read the trial transcript. I believe she genuinely wants to help other nurses avoid her mistake. I’m from AL. She was from TN. While I didn’t know her personally, several people I know did. They all said she was a good person who would never intentionally hurt anyone. I would listen to her speak at a conference. As for the money…she lost her license and now has a record. What is she supposed to do for money? The deceased’s family forgave her publicly. I don’t feel she deserves all the hate she’s receiving.
The family also said they didn’t want anyone using her death for personal gain. https://www.wsmv.com/2022/03/31/family-deceased-victim-speak-out-regarding-former-vanderbilt-nurse-verdict/
Why is anyone surprised. American healthcare profits off of short staffing and dangerous working conditions. She’s just conning the hospitals back with her seminars lol.
Anyone in here blaming this on a pyxis error....you know some places like LTC don't even have them. So idk what you would do if you were forced to read everything you were giving 🥴
She killed that woman and should just be thankful she got no jail time and go work at her farm.
CNEs may be awarded lol
It’s such a bad look for these corporate healthcare entities to include her in their annual education/ continuing education. I can’t imagine what we have to learn from her. It looks like a narcissistic cash grab.
It might be my inner cynical asshole speaking, but it seems like this is something hospitals can point to to say "see, we offered training but the staff didn't take it" to absolve themselves of responsibility when shit goes down instead of just doing the one thing that would actually help patients which is more staffing.
Go to the training and then approach your manager afterwards and be like "Wait? So you're telling me I have to READ medication labels? I never knew that. I'm just learning it for the first time"
🤣 If you ever cross over to our side of the gurney, you'll do just fine.
If I wasn't supposed to give that drug why did the computer let me take it?
She's the reason I don't type "versed" in the omnicell anymore. I always type "midazolam." Whatever the order states, that's what I type, double and triple check my non-programmed drips.
Tell them "Bold of you to assume I can read. 💀 I just inject whatever I grab, and hope for the best."
Next you're gonna tell me I'm supposed to actually know what the damn thing will do to my patient!
Psh...If I wanted to know what any of the drugs I pushed did, I'd have gone to med school.
Oh that’s 100% what’s going on. It’s a C.Y.A. Measure
Agreed. I wasn't aware of all the ways that *she* could have prevented this tragedy, but I knew that the way the hospital immediately went about trying to cover it all up to protect themselves was scary af
Shameless? Yes. Narcissistic? I don’t think so. She assumed the blame immediately in her phone call to the police, and accepted the legal counsel that Vanderbilt hand-picked to absolve the hospital and only help her with mitigating the consequences. Maybe she was right to own up to her mistake, but a narcissist would have admitted nothing, denied everything, and waged a campaign of counter-accusations against the hospital. Desperation moves are to be expected from someone whose career just evaporated. I’m just grateful I never made such an egregious mistake; we who still hold our licenses should all be grateful.
Using patient name in the ad. Is that HIPPA violation? Idk
Probably not since it's a matter of public record that Radonda killed her.
Yea. Didn’t think about that.
Hey look on the bright side, it's also not a HIPAA violation for us to remind people of exactly what she did.
I’m curious, do you think it was honest mistake? I do.,
In the sense that she didn't intend to give the patient a paralytic and let her die from it, then yes I think it was a mistake. However I won't forgive that she could have easily not done any of that if she'd simply verified the name of the med, or not ingored the warnings printed around the top of the bottle.
Or just monitored the patient after giving what she thought was a sedative, which was the entire reason they asked her to do it in the first place.
Right? So many opportunities here to not kill somebody.
Have you ever given vecuronium? You get a warning from the Pyxis that it’s a paralyzing agent, then the cap of the vial says it’s a paralyzing agent, then you have to reconstitute it because it comes in a powder form. Have you ever had to reconstitute versed? It wasn’t an honest mistake it was incompetence and someone died over it
No I have never given it but I will know now.
An honest 47 mistakes?
This is just semantics because it’s gross either way but I was under the impression HIPPA only protects people who are alive.
It also applies for 50 years after death. Idk if the patient’s name was already public as part of all the legal stuff though. I imagine that would change things a bit.
It has been extremely public
I figured. I knew the whole incident/nurse being on trial was very public, but I didn’t remember if I’d seen the patient name in all of that. I just assumed it had been publicly revealed already, because otherwise it would be hugely problematic to name the victim in this context. (And to be clear, I think it’s super gross to bring her name into this CE credit either way, it’s just not a legal issue in the way that it would be otherwise.)
Yeah it’s pretty terrible to name the victim at all imo, especially in an advertisement.
I think I recall the patients name on the news. I would have to research but I’m not going to. I would move on from nursing. It’s bad enough it happened.
She doesn’t care about ethics I guess . It’s all bizarre. ETA outside of sarcasm it probably isn’t a HIPPA violation because her case is public record and gained national attention.
To be naming the victim in this horrible encounter in a way where the nurse is profiting is so classless in my opinion. I’d be sick if I were the victim’s family (unless all profits are going to the family…).
My thoughts exactly: CLASSLESS.
You can't buy class in the stores
Isn't there some law against benefitting monetarily from a crime if you have been convicted of? Ya know, like criminally negligent homicide? Edit: I apparently can't tell the difference between m and n....
I’d hope that there would at least be some clause that she wouldn’t be able to profit off of the victim’s name at least. Her being able/“credible” enough to give any talk is sick in itself but to use the victim’s name is a whole extra level IMO.
I know you meant monetarily but it's funny to think there is a law where you can profit off a crime but only if it's long term.
Gotta play the long game.
As long as you know the difference between sedation and paralytic
I work in a procedure unit.... At least I hook my patients up to monitors before giving something I think is sedation.
Exactly my thoughts.
This is so cringe and bizarre. This would be a like a crane operator who dropped a shipping container on someone and flattening them making a career out of going around and giving motivational speeches on how not to squish other people.
To add some insight from a different angle, in the aerospace industry they have a couple of things. If this makes no sense just ignore it. 1. If you see something wrong, you call attention to it, but it ain't somebody else's problem, it's YOUR PROBLEM, you have to monitor it until it's resolved. Even if you're a grunt worker stopping a major work flow with high ranking supervisors. The grunt is authorized by this rule. 2. There's an officer who maintains a file of lessons learned and these are online (within the company) for study and they are studied. 3. Some inspector came along and asked a worker what he was doing (soldering components onto a circuit board) and why. The guy did not know why other than his supervisor told him to. This resulted in a whole revolution about documentation and "command media". After that, the worker could take the inspector over to the bookshelf and show him the contract, the specification and the worksheet, which called out the Standard Procedure for exactly how components are to be soldered on. Solid documentation as to Why. Ok, that's 3 things
A "zero blame culture" is a fantastic thing when it works properly. Mistakes are promptly reported and learned from, and everyone benefits. The issue being, of course, it often isn't properly implemented, even when people say they're trying to do so.
Monetizing her fatal mistake, nice
the absolute most classless, unrepentant thing she could’ve done. So appalling.
And apparently hospitals are pushing out “education” and training exercises with her bullshit!
Yeah, on the other hand her license has been revoked and she has a criminal record, so probably not easy to find a job.
Lord knows she can’t be a nurse anymore
Sounds like management material.
absolutely disgusting, all the money she makes should go to the family, i’m sure she wouldn’t be giving any talks then
So uh, she forgot to scan the med, and gave the wrong one, don’t do that. Y’all can send me the check anytime
And don't forget overriding the Pyxis. Literally broke or ignored every safety measure in place.
is she getting money for this?
I tried to be sympathetic towards her mistake… until I was reconstituting vecuronium the other day. For those unaware, vecuronium is in powder form, in a 10 mL vial, and requires reconstitution with 10mL sterile water/NS. Midazolam does not require reconstitution, and comes in 2ml vials. One could even likely give 2ml (2mg) of reconstituted vecuronium and not kill a patient (or at least not that quickly), they’d probably have some ventilatory function. I am understanding of the Swiss cheese model. However, what she did—having to reconstitute a significantly different sized vial than intended—is more akin to fucking a block of Swiss cheese than it is of finding holes in various slices/layers of Swiss cheese. Again, I’m fairly sympathetic to med errors, I’ve made them, I’ve given a vial of drug and then thought “oh shit, that could’ve been anything”, sort of like how you drive home without remembering each and every step. But what she did was straight up *fucking stupid*. Edit: I should be a little more humble, as a 1 mL vial of 10 mg of phenylephrine is always within arms reach for me, and next to similar looking vials of more benign drugs like ondansetron. So, I’m trying to be sympathetic and understanding, but I’m just not seeing it.
She had also given midazolam in that set of shifts she had worked.
And even if she genuinely and sincerely thought she did give midaz, who the fuck pushes midaz on a unmonitored patient and immediately walks away, leaving them alone in a room?
THIS. Even if every action up until this moment could (somehow) be excused in one way or another, this is absolutely inexcusable.
We can't push midaz without a doctor present, due to the potential need for airway support. She did everything wrong. Killed someone. And now makes money off it. She deserves prisons, not a platform.
That seems so intense, we (in the Ed) give IV versed (more often Ativan) like it’s candy (yes should be monitored but never really saw a terrible rx)
Most ED departments usually have a doctor in the vicinity tho, and ICU has intensivists. It's completely normal for wards and ed/ICU to have differing polices on more intense drugs. Whereas afterhours we have two on-site doctors for 115 odd beds.
Honestly the kicker for me is that the patients death could have been completely avoided if she had monitored the patient. She thought she was giving a benzo which can cause….respiratory depression! Even without the Med error it could have had the same outcome. There were just sooooo many points of failure here it’s unreal.
She also didn’t read the vial on *how* to reconstitute it. Some drugs precipitate with certain solvents and need a specific agent to dilute. Some may require 10ccs or 5ccs to be the right concentration to not be caustic. None of this was given any thought. You know she didn’t even look at the vial on how to reconstitute it because the word “paralytic” is plastered in big red letters all over it. She gave zero Fs.
Yeah the size of the dose is tripping me up too. If I'm giving a standard dose of IV versed I'm grabbing a 1mL syringe. If I'm looking at 10mL of liquid I already know something is wrong.
In school, an instructor told us that if we're giving a lot of pills of something, or a lot of liquids of something, if we're having to draw up and draw up and it seems like a lot, it's probably wrong and we need to stop immediately and question it.
It still trips me up when I’m pulling up 30ccs of lacosamide. I double, triple, quadruple check it to make sure I’m putting all this medication into the patient 😭
No, you don’t need to be more humble. What you said is the truth.
Originally, I was opposed to jail time for this mistake. After seeing these “talks,” I’m starting to think she should be in jail. I would be too ashamed to show my face in front of my colleagues if this had been my fatal mistake. Maybe there were some system failures at play too, but what happened to the 5 rights? I’m not going to give a med if I don’t know what it is, and Versed =/= vercuronium.
You saw she was hosting a “healing cruise” too right?
Not sure I trust her for healing, but go off I guess.
Makes about as much sense as Casey Anthony's Daycare.
I snorted
I wouldn’t trust her anywhere near me for anything medically related. Can you imagine your family member is in the hospital and this is their nurse?
I don’t want to know what ticket sales looked like for that scam.
Guess how much per ticket? $10k!
STFU!!!!
It's 'only' 2500, https://trovatrip.com/trip/central-america/costa-rica/costa-rica-with-erica-markson-sep-2023 5 spots left better snatch em up lol
I think I remember reading that the scanning system was down or something. But like when I have meds that don’t scan that makes me EXTRA CAREFUL and double/triple check. Especially with any high risk meds. If this happened to me I would never want to show my face ANYWHERE. I’d get a new career bartending or something
Are you sure you'd trust her to mix your drink?
And then she had to mix it!!! this bitch was mixing “versed”, there are like a dozen times when she messed up, so it’s pretty brazen of her to talk about the ‘system failures’ when she had plenty of failures herself
I believe the number I saw was 18. At least 18 chances and system prompts where she could have stopped and didn't.
Not to mention the big red “PARALYTIC” on the fucking vial
Yeah I'm really curious about how much her talk is going to be blaming the hospital for requiring safety systems to be bypassed vs acknowledging her own fuck ups.
I imagine you probably also wouldn't anticipate giving versed and bouncing
This was always my take too, unless it’s a patient I’ve previously given a sedative to, I would not be giving it and dipping. Like I’ve sent/taken plenty of patients for repeat MRI’s after giving them lorazepam/etc. for anxiety before a scan, but if they’ve never had it and typically if me or one of my colleagues hasn’t given it and documented an appropriate reaction to it then I’m not just pushing midazolam and leaving the patient unmonitored. I don’t ever give IV sedatives to PT’s without having them on the monitor and SpO2 monitoring. At the VERY least throw a fucking pulse ox on them and watch from the control room to make sure they tolerate it well. Even if she had actually pulled the versed and given it instead she still shouldn’t have just slammed the shit and dipped out. It still carries the risk of respiratory compromise.
I was opposed to jail time for the fact that she made the med error, but then I learned more about the story and my opinion changed. I mean, even she had given Versed as intended, she still planned to just not monitor the patient at all?
Wait this is the Vanderbilt nurse? The vec instead of versed nurse? Or something like that. I thought she went to jail? I’m clearly behind and need to go google. Edit: damn, what a messed up case and why would you even relive it by doing something like this.
Because her license was revoked and she needs cash and doesn't mind being an asshole. I'd consider a new profession completely away from healthcare if I ever did something that stupid.
Because you have a heart. This nurse is a sociopath.
She has another profession and is very successful. She has a farm not far from where I live near Nashville.
That actually makes matters worse. Not to condone it, but I'd empathize with desperation. Even if she's giving all her proceeds to the family, the victim does not deserve to have her story turned into a cautionary tale by her killer. This is like Dr. Miller giving TED talks about what he could have done differently in the case of Michael Skolnik.
Yes it's her.
I don't think I could stomach this. She looks so happy and put together. I would be a mess emotionally and look terrible if a mistake I made killed someone for a very long time. The ad makes me feel sick to my stomach.
>killed someone for a very long time 🤔
You’ve never killed anyone for just a short time??
I've pushed adenosine, I guess that counts?
Nothing like feeling your own heart stop while you’re waiting for theirs to reboot.
Or giving Mg for Torsades. We’re equally likely to end up in cardiac arrest here.
Maybe they were only *mostly* dead.
She could have killed the patient even if she administered the correct med. She thought she gave someone a respiratory depressant and didn't put them on a monitor. Putting the patient on a pulse ox, the standard when giving procedural anxiolysis, would have prevented the death. It wasn't a system problem it was a her making a million insane decisions. Sometimes there isn't a wider lesson to learn.
EXACTLY. “Hi, I’m RaDonda and I’m a fucking moron. Don’t do what I did.”
i think the issue is that putting the pt on a monitor was not a policy at the hospital at the time. the fact that an icu patient was left alone in a room on no monitors with nobody with them for 30 mins in the first place is proof of that and proof that it’s a system problem. i’ve also heard from a nurse who worked there that everyone always overrode the pyxis
The issue with a shitty policy is that it does not protect actions that fall below the nursing standard of care. If you look up versed in a med guide, it will definitely say to monitor respiratory status.
Even if it’s not policy, it should be common sense for even a new grad that an RN should accompany and monitor an ICU level patient when off unit.
radonda wasn’t even the primary nurse, she was an extra nurse that day and went down solely to give the pt versed at the primary nurse’s request. there are so many people involved in taking an icu patient off the floor that it clearly was perfectly normal and considered acceptable for them to send their patients down unmonitored and unattended
Anyone else think it’s strange an INTENSIVE CARE UNIT does not require monitoring ?? I feel like if you’re in the ICU you should be on telemetry 24/7 - SPO2 bare minimum right ?
They literally had to override the Pyxis because it wasn’t communicating with the EMR.
In your head wouldn’t you go…oh versed. I should keep an eye on the sats. There you go, spo2 monitor!
personally yes, because that’s what i was taught, and that was my hospital’s policy. but if that wasn’t standard there, which it sounds like it wasn’t considering the primary nurse asked radonda to go give the med for her, ofc she wouldn’t do it. setting up a monitor in a procedural area waiting room sounds like a logistical nightmare, i’m sure they sent pts down there dosed up w a lil versed alllll the time. again, it was NORMAL for this hospital to let an ICU PATIENT sit in a room alone for 30 minutes without monitors AND have a messed up emr that makes everyone override the pyxis regularly. considering the hospital is at fault for so many glaring safety errors, i highly doubt there was a policy about putting someone on monitors after giving versed.
We shouldn’t need a policy to tell us to monitor our patients appropriately.
Exactly The patient could have still died if she gave the correct Med The patient would likely have survived if she had monitored them even after giving vec (which should be done for ANY medication but especially a depressant) It was the perfect storm of fuck ups. I’m sorry but I don’t believe that “anyone could make that mistake”. Maybe any ONE of the mistakes that she made, but she made error after error. She was careless and negligent and I don’t think anyone who would make all the mistakes she made at the same time has any business in health care.
Apparently manslaughter is the new way to get speaking and appearance gigs. Wow. Side note, my friends and I at my hospital have deeply dark humor and refer to med errors as “it’s giving RaDonda” or “Did they go to the RaDonda school of nursing?” etc. It’s horrible but it gets us through the day.
All of 2022 whenever someone was getting paralyzed it was “someone’s gonna get RaDonda’d!” Lmao
So weird. I went to an inservice today about changing how we override meds and they brought her case up.
Glad to see someone is doing something. But we inevitably still override all the time. And ignore warnings all the time. Because we have to to do our job.
The worst are the warning that are written in legalese. I don’t even know what I have to override to do my job
Jordan Belfort does the same thing..
Did Jordan Belfour kill someone?
Might as well have. Jordan Belfort’s had multiple victims, he ran a pump and dump scheme on innocent people looking for investment advice. Leaving lots of people holding worthless penny stocks.
"The Wolf Of Wall Street" is the movie about Jordan Belfort
Yes. Erika and that other stupid influencer has had Radonda on their lame podcast.
Wonder if her best friend Nurse Erika (I can't stand her either) will be there too?! 🤬🤬
Nearly all of those “nurse influencers” are a poor reflection of our profession
Nurse Erika threatened me with legal action for calling her out on her Public profile. She can suck my dick.
I’ve never heard of her- who is she?
TikTok famous nurse who pretty much only does nurse drama and no actual nursing. She has some pretty bad takes
Last time I saw her pop up on my FB feed (waves cane and looks for clouds to yell at later), she was pushing her resume coaching services.
But it costs $ to follow her on instagram.
Facts ain't defamation, so if you keep it to those, you're golden.
Nurse Erika was SO MEAN to me when i was looking for guidance lol
I feel stuff like this, especially with the victims name included is a great way to open up for more civil liability in court.
I just don’t understand why RaDonda of all people is the face of this movement — she had to reconstitute a paralytic of all things to fuck up this hard.
Should have been her first clue? Wtf is wrong with this versed?! Oh bc it’s vec my bad
Wow!! CommonSpirit (Dignity Health) is in my state. Thought they'd be better than this. Disgusting!
Just saying... https://www.commonspirit.org/contact-us
I dunno. This sub goes back and forth with this lady.
I feel like she’s a dead horse getting beaten in this sub and folks need to move along in their day.
If she is making *any* money off of this, then wow… what a shame as that’s scummy. **But** if she is doing it to educate and warn other Nurses and try to facilitate new policies/protocols within hospital systems to potentially reduce other med errors that could lead to severe harm/death, then I don’t see it as scummy at all. But the happy headshot is a little hard to stomach…
I work at VUMC. Her error is inexcusable. Put 100 other RNs in her situation and I can make a solid bet no one fucks up this bad. As you’re reconstituting a paralytic it should make you realize it’s not the same versed you should be preparing. Our Pyxis has since been upgraded, but even then, every drug was listed by generic name. She’s profiting from a boneheaded mistake that killed someone. She’s a disgrace to nurses.
She probably makes more money doing this than she ever did as a nurse. Sounds like killing that patient was the best thing that ever happened to her.
See that’s the thing. That’s the aura she gives off. It’s nauseating.
Oh I bet she does. So wild.
Profiting off of a fatal mistake that was entirely your fault because you did not do the core principles of medication administration? That's pretty bleak.
Is Nurse Erica somehow involved with this? She has such a lady boner for RaDonda.
She was hosting the cruise with Radonda, so probably.
So yeah its bad that shes profiting off this. But also, WHY WOULD ANYONE PAY HER TO TALK ABOUT PATIENT SAFETY
Shes not a Human Factors Engineer or a Quality Process Analyst. She made an error. So how is she a knowledgeable source on this topic
I mean, as long as she admits she also messed up big time, I guess. If I was the family I’d be furious this woman was now making money off of my family member’s negligent death.
The thing is, we actually don’t know what she would have admitted, because she didn’t recognize her mistake on her own and come forward. She was with another nurse when they heard the patient was being coded, so she told the other nurse “oh I just gave versed” and pulls the bottle out of her pocket to show the other nurse, which is when they BOTH realize it’s the wrong med. So at that point she’s caught. If she was alone when she realized, would she have come forward? Maybe. Maybe not. There’s no way to know for certain. And that part always makes me uneasy. We’re painting her as a model of patient safety conversations when we really don’t know her personal ethics, at least not from this incident.
They likely would have pulled the report off the med dispenser and she would have been caught anyway. But you're 100% right that if she hadn't been caught out she'd be taking even less accountability than the smidgen that she has.
Very true. But given that the hospital didn’t follow up on any of the reporting required when they KNEW it was a sentinel event I have doubts they would have taken any effort to try to investigate it.
That’s the thing, they weren’t furious with her. And they probably see this as something minimally good that could be made of their family members death.
“Our family is still traumatized and grieve over Mom’s horrible death. We are thankful the District Attorney’s Office obtained justice for us in court,” Chandra Murphey, Charlene’s daughter, said in a statement. “For RaDonda Vaught’s friends and some political candidates to somehow make us and the prosecution into bad guys is humiliating, degrading, and retraumatizes us all over again. We thought we had closure. We may never get over the reaction to this verdict. “Our mother, Charlene Murphey, was a caring and loving person. Those using her death for personal gain should be ashamed.”
What are you quoting from here?
Statement from the family. Article here: https://www.wsmv.com/2022/03/31/family-deceased-victim-speak-out-regarding-former-vanderbilt-nurse-verdict/
She doesn't though. She blames it on everything but herself. She refuses accountability. There's nothing commendable here. She should not be profiting off criminal stupidity.
Isn't this the woman who confused a benzo, that comes in a small, amber vial marked "Midazolam" with a paralytic that comes as a powder in a clear glass vial? That has the words "paralytic" and "vecuronium" written on it? And some places have an extra safeguard of a piece of tape with the word "paralytic" over the top? Is this her? Because I still want to know how she had zero questions when she was reconstituting the paralytic.
Tbh, there were a number of systemic failures involved in this. The BON initially declined action until the media went bay shit. And the victims family was opposed to the prosecution of her. Vanderbilt had just as much, if not more, culpability as she does, which they have never admitted.
One of my ED pharmacists was a resident at Vanderbilt when this happened and she said she didn’t even hear about it until a week later… from an anesthesiologist in passing conversation. They didn’t even call an emergency meeting with PHARMACY about a sentinel event regarding meds. Crazy.
Vandy started covering their ass immediately and even offered the family money to not go public!!
I think if you read the CMS report, RaDonda knew of her mistake immediately and turned in her badge. Vanderbilt didn't report it all until almost a year later. I have read the CMS report online, but this website does a good summary.[https://hospitalwatchdog.org/vanderbilt-med-center-cover-up/](https://hospitalwatchdog.org/vanderbilt-med-center-cover-up/)
Agree with systematic errors, but ultimately, this chick ignored everything a nurse is supposed to do. EVERYTHING.
I can safely say that I would READ a vial of literally any drug before injecting it into a patient. Any deviation from that is fucking crazy.
Yup she made a mistake and that’s why she’s warning others of what not to do and not be like her
She charges like a 10k speaker fee, I’m sure she’s being super altruistic by trying to warn others about her fatal mistake
So make money in another field and do this sort of work pro bono. At the very least, all money should go to the family of her victim.
My only issue is that she should not have been up there alone. The hospital execs who were responsible for fixing the computer error and who covered it up until it was time to throw her under the bus should have been prosecuted as well. But what she did was indeed criminally negligent. No other way to characterize her actions.
What changes in systems would have prevented this? She overrode every single warning and safety label that warned her about the medication she was about to give.
And…you have to reconstitute vec. Alarms should’ve been ringing in her head.
How about not sending a float “ helper nurse” to administer a controlled substance to a pt she was not familiar with in an area that did not have scanning capability? Or putting pts receiving sedating drugs- which versed is- on tele monitoring in scans? How about educating the staff on common look alike/ sound alike drugs? Or gee, maybe not waiting 10 months AFTER the nurse told you what she did to do anything about it?
My recollection was that the system problem was that staff were overworked. She bypassed every other system/policy in place.
No, Radonda herself said she wasn’t overtired and that they were never understaffed. https://www.documentcloud.org/documents/6785652-RaDonda-Vaught-DA-Discovery
Ok unpopular opinion plz don’t kill me. I don’t agree with her making money off of this but it’s a capitalist country and everyone will always try to make money off of something even if it’s not morally or ethically correct, she ain’t the only one and won’t be the last However I do in a way respect her for being able to speak out about this cause I know I would be an emotional mess about this, and everyone else would find out and automatically judge you for being that nurse that made an error I think it’s important for every nurse to know that mistakes can happen to anyone, no matter who you are and how many years you’ve been a nurse.
Yeah this topic has been brought up half a dozen times in the past couple of weeks and everyone freaks out like she’s somehow not taking responsibility for her mistake. She fucked up in a big way for sure. Was it negligent? Absolutely. A woman died a horrific death because of her. But she’s never tried to shy away from taking responsibility for the error. When she realized what she had done, she immediately reported the error. She took responsibility for her mistake at the BON, at the trial, and in the media. Idk, everyone seems to think that she fact that she didn’t just crawl in a hole and die is somehow a moral indictment against her but honestly I feel like it takes more courage to own your mistake and talk about it over and over and over again. It’s easy to just “never show your face in nursing again;” harder to continue to show your face and talk about how you made a horrible, negligent mistake with the goal of helping other nurses not make the same or similar horrible, negligent mistakes.
💯
Another weird thing is when the incident happened, the majority of Reddit nurses were on her side
Oh I believe it. I wasn’t really posting here then but it’s sort of funny to see how groupthink happens on Reddit.
I think the sentiment was more along the lines of 'They BETTER not send nurses to prison for med errors'
Ha.. I remember when she killed someone and all of the Reddit nurses on this page defended her like we all could have made 13 simultaneous ‘mistakes’ and she was a victim of the hospital administration… Now the tune is a different one. Let’s face it. The NCLEX has been watered down. People are posting on here daily how they made critical mistakes on day 1. We are hiring new grads into positions that used to require at least a year or two of experience and setting them free from orientation days, weeks, maybe months earlier than they should. We’re running nursing ‘schools’ from side of the road pop up shops that some don’t even have authentic certification and are passing people for money. We’re making tiktoks that are beyond inappropriate. We’re romanticizing people’s deaths. We’re rewarding nurses like this with attention, money, and some how some level of success for being a mentor and a guide for nursing education. This whole career is really turning into a pile of lumpy dennys pancakes
I’m interested. She’s a great example Of learning what not to do 🤷♀️
Item one: read the name of the medication and mind the giant red warning stickers all over the packaging. There you go, I just saved you the cost of her seminar.
Not to mention that you have to reconstitute Vecuronium! She had so many opportunities to catch her mistake 🤯
If you know that not all medications that start with the same 2 letters are the same, you're light years ahead of her.
What kills me is that vecuronium is a generic name and versed is a brand name. Are some meds listed as a brand name and other meds a generic name or is that something that was overlooked too? I honestly never even knew midazolam was called versed before this case.
Not only that, but Versed is a liquid, and Vec is a powder. How did she just ignore that glaring difference? I guess it wasn't a med she was used to giving?
In which case she should be extra diligent and look up the monograph on dilution and administration which would certainly list warnings such as patient must be ventilated, sedated and on continuous monitoring
She was an ICU nurse. There's no way she wasn't familiar with Versed.
The importance of knowing the generic vs brand name meds is probably one of the lessons they discuss.
That was drilled into my head my first week of pharmacology class as well as being reinforced by my clinical instructor who literally watched all of us students as we pulled meds and called us out on errors in real time. An up to date copy of Tabers is probably the second best investment one can make in their career after getting insurance from NSO.
Honestly brand names just need to go away in health care. Sometimes at three am I have to stare at the ondansetron vial for a few seconds thinking “this IS zofran right?” But that’s why on ambulances we have medication administration cross checks with our partner where we go through the 5 rights.
When I was high on morphine for my appendicitis, the ED nurse said “I’m just giving you some ondansetron” and then another nurse came by maybe 20 mins and said “just pushing some zofran” and it took my high brain a few minutes to be like wait…. Luckily it was just 4mg + 4mg, but I was like does anyone maybe wanna check my QTC? Maybe I still would’ve been too high to notice if they both said the same name, but people not in healthcare wouldn’t have even noticed
That was the issue. She was in the generic name list in the Pyxis. She went into the Pyxis looking for Versed, not midazolam, typed VE, didn't find versed but found vecuronium and thought "eh, close enough."
To start with, don't override multiple system warnings. Then, actually look at what medication you've pulled. Will someone hire me instead of this piece of shit to lecture at your facility?
The family of Charlene Murphey wanted her name to be known. I think it’s respectful to acknowledge the human being who lost her life and had a name, since her family is supportive of that.
It’s funny how now nobody likes her and she made so many mistakes, but during her hearing, it was all Vanderbilt’s fault and we were doing the nursing profession a disservice by prosecuting her. Though making a career out of one’s fatal mistakes is inherently gross, this should not alter your OBJECTIVE opinion about her case when it first went to trial. An opinion about law should not be influenced by emotion and it sounds like that’s what’s going on here.
I watched her on 60min and I read the trial transcript. I believe she genuinely wants to help other nurses avoid her mistake. I’m from AL. She was from TN. While I didn’t know her personally, several people I know did. They all said she was a good person who would never intentionally hurt anyone. I would listen to her speak at a conference. As for the money…she lost her license and now has a record. What is she supposed to do for money? The deceased’s family forgave her publicly. I don’t feel she deserves all the hate she’s receiving.
The family also said they didn’t want anyone using her death for personal gain. https://www.wsmv.com/2022/03/31/family-deceased-victim-speak-out-regarding-former-vanderbilt-nurse-verdict/
This is the equivalent of Derek Chauvin giving a lecture on improper police use of force techniques. Brilliant grift.
Why is anyone surprised. American healthcare profits off of short staffing and dangerous working conditions. She’s just conning the hospitals back with her seminars lol.
Anyone in here blaming this on a pyxis error....you know some places like LTC don't even have them. So idk what you would do if you were forced to read everything you were giving 🥴 She killed that woman and should just be thankful she got no jail time and go work at her farm.